Ballistic talus fractures: a retrospective analysis

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Ballistics Medicine

Background:

• Ballistic talus fractures are rare and poorly documented.
• Optimal treatment strategies remain unclear due to limited literature.

Purpose of the Study:

• To report on a single-center experience with ballistic talus fractures.
• To outline epidemiological findings and outcomes of these injuries.

Main Methods:

• Retrospective review of skeletally mature patients with ballistic talus fractures (August 2019 - June 2023).
• Characterization of fracture morphology, displacement, and talar declination angle (TDA).
• Documentation of demographic variables and complications.

Main Results:

• 21 patients with ballistic talus fractures were analyzed.
• 52% of fractures were displaced, and 81% involved associated ipsilateral foot/ankle fractures.
• Operative fixation improved TDA; overall complication rate was 29%, including avascular necrosis and non-union.

Conclusions:

• This study presents a unique cohort of gunshot-related talar fractures.
• Operative intervention may improve TDA, but complications necessitate careful management.
• Further research with longer follow-up is required to enhance understanding and treatment.